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* 1. Are you interested in participating in the AAPG (American Association of Petroleum Geologists) or SEG (Society of Exploration Geophysicists) student chapter

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* 2. Are there any particular subjects you would like to be discussed within any of these chapters (choose all that apply)

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* 3. Are you interested in taking a leading role in any of these chapters (such as chapter president, vice president, secretary, and treasurer). If yes, please leave your contact information.

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